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UVA Health · 6 hours ago

Advanced Practice Provider Fellow (NP/PA/APP) - Primary Care

Virginia, United States

Full-time

Onsite

New Grad

1+ years exp

UVA Health is a world-class Magnet Recognized academic medical center and health system. They are seeking an Advanced Practice Provider Fellow who will rotate through various specialties, providing comprehensive patient-centered clinical care and participating in a structured didactic curriculum.

Health CareHospitalMedical

Responsibilities

Independently and in collaboration with the primary preceptor, attending physician(s), geriatricians, urgent care physicians, and interdisciplinary team members (nursing, pharmacy, social work, care coordination, physical/occupational therapy), provides comprehensive, patient-centered clinical care in primary care clinics, geriatric assessment centers, skilled nursing facilities, home-based primary care programs, and urgent care/walk-in settings

Performs thorough, age-appropriate history and physical examinations, including functional, cognitive, mood, nutritional, fall risk, and frailty assessments, with particular emphasis on geriatric syndromes and acute undifferentiated complaints in urgent care

Accurately documents findings in the EHR, clearly identifying pertinent positives/negatives, red flags, social determinants of health, advance directives, and goals-of-care preferences

Orders, interprets, and acts on diagnostic studies relevant to primary care, geriatrics, and urgent care, including routine labs, ECGs, plain films, urinalysis, rapid strep/influenza/COVID testing, and age-specific screening tests

Formulates evidence-based diagnoses and differential diagnoses for acute, chronic, and preventive care needs across the adult-geriatric lifespan, incorporating multimorbidity, polypharmacy, and deprescribing principles

Develops, implements, and longitudinally evaluates individualized care plans that integrate chronic disease management (diabetes, hypertension, COPD, CHF, CKD, dementia, etc.), preventive health services, immunizations, Medicare wellness visits, and urgent same-day evaluation/treatment

Prescribes and manages pharmacologic therapies with attention to geriatric pharmacodynamics, renal dosing, drug-drug interactions, and deprescribing; recommends evidence-based non-pharmacologic interventions (lifestyle modification, physical therapy, fall prevention, cognitive stimulation, caregiver support)

Initiates timely specialty referrals, urgent diagnostic testing, or direct admission/ED transfer when indicated; coordinates transitions of care from hospital/SNF to home or assisted living

Recognizes and rapidly manages acute/emergent conditions commonly seen in primary and urgent care settings (chest pain, dyspnea, syncope, sepsis, dehydration, acute confusion, falls with injury, minor trauma, lacerations, infections) while activating EMS or higher level of care as needed

Incorporates age-, culture-, and health-literacy–specific considerations into every patient encounter; performs shared decision-making, motivational interviewing, and advance care planning, including POLST, Advance Directive, and/or DDNR completion

Advocates for patients and families by addressing social determinants, caregiver burden, elder abuse/neglect reporting, guardianship issues, driving safety, and access to community resources

Serves as a clinical resource and consultant for primary care, geriatrics, and urgent care topics to colleagues, nursing staff, students, and external facilities

Maintains strict confidentiality of protected health information in compliance with HIPAA

Ensures practice meets or exceeds national quality standards through interdisciplinary collaboration and performance improvement

Clearly explains the necessity, preparation, risks, benefits, and follow-up for office-based and urgent care procedures (e.g., joint injections, I&D, skin biopsy, cryotherapy, suturing, splinting, nebulizer treatments, IV fluid administration, etc.) to patients, families, staff, and learners

Performs common outpatient and urgent care procedures after demonstrated competency and privileging, including but not limited to: joint aspirations/injections, trigger point injections, incision and drainage, wound care/debridement, laceration repair, skin biopsy/excision, cryotherapy, cerumen removal, etc.—initially under direct supervision and progressing to independent practice

Meets or exceeds all defined clinical milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation

Serves as an exemplary professional role model for colleagues, interdisciplinary team members, the institution, and the broader healthcare community through consistent demonstration of integrity, accountability, and clinical excellence

Exhibits unwavering respect, cultural humility, and collaborative spirit in all interactions with patients, families, staff, learners, and the interdisciplinary care team

Demonstrates emerging leadership by actively mentoring junior APPs, residents, nurses, and students; fostering interdisciplinary teamwork; and championing initiatives that empower others to deliver high-quality care

Advocates for the expanded role and value of Advanced Practice Providers through patient/family education, professional presentations, community outreach, and/or participation in hospital committees or professional organizations

Assumes progressive leadership responsibilities within the fellowship, including (but not limited to) leading quality-improvement efforts, presenting in formal educational sessions, or representing the APP group in departmental initiatives

Meets or exceeds all defined leadership and professionalism competency milestones by the conclusion of the fellowship year, as evaluated through multisource feedback, portfolio review, and direct observation

Qualification

Adult Primary Care Nurse PractitionerFamily Nurse PractitionerPhysician AssistantBasic Life Support (BLS)Advanced Cardiac Life Support (ACLS)Clinical DocumentationPatient AdvocacyQuality ImprovementInterdisciplinary CollaborationLeadership

Required

Master's Degree as an Advance Practice Provider (Nurse Practitioner or Physician Assistant)

Less than 1 year of experience in desired specialty

License or license eligible as an Advance Practice Provider (Physician Assistant or Adult Acute Care Nurse Practitioner, Family Nurse Practitioner, or Adult Primary Care Nurse Practitioner) as set forth by the state of Virginia

Must demonstrate and maintain all credentialing and licensing requirements of the UVA Medical Center, the Virginia Board of Medicine or the Virginia Board of Nursing, and the appropriate certifying bodies

Must be enrolled with all payers through Delegated Credentialing and can participate in Medicaid and Medicare for billing

Current Basic Life Support (BLS) certification through American Heart Association required

For Critical Care only, current Advanced Cardiac Life Support (ACLS) certification through American Heart Association required

Job requires standing for prolonged periods, frequently traveling/bending/stooping

Proficient communicative, auditory and visual skills

Attention to detail and ability to write legibly

Ability to lift/push/pull 20 - 50lbs

May be exposed to chemicals, blood/body fluids and infectious disease